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Perception & Psychophysics1998,60 (8),1337-1343
A maximum motion techniquefor assessment of color vision defects
CHARLES A. COLLIN and AVI CHAUDHURIMcGiU University, Montreal, Quebec, Canada
Severalluminance-matching methods, such as flicker fusion and the minimum motion technique(MMT), are capable of detecting certain forms of abnormal color vision. Wepresent evidence that theheterochromatic fusion nystagmus (HFN) luminance matehing technique can discriminate among normal trichromats, protanopes, and deuteranomals. The HFN luminance matehing technique has the advantage that it provides a positive indication of isoluminance (maximization of motion) as opposed tothe MMT and flicker fusion methods, which indicate isoluminance by the minimization of motion andflicker, respectively. Wetested 16normal trichromats, 6 protanopes, and 4 deuteranomals with the HFNtechnique. Results indicate that HFNis a useful tool for examining color vision. Because the HFN stimulus elicits reflexive eye movements (optokinetic nystagmus) that follow the apparent motion ofthestimulus, HFN luminance matehing will be particularly useful in animal and infant research, whereother color vision tests are difficult to implement.
In a number ofresearch areas, information on color vision defects is useful but difficult to obtain. Such is thecase, for example, in developmental research and in animalvision science. With infant or animal subjects, most ofthetraditional clinical and psychophysical methods for evaluating adult humans' color vision are difficult to implement,and lengthy or complex procedures such as preferentiallooking and behavioral training must be used instead. Simpler and more efficient methods cannot be used, becauseanimal and infant subjects lack the ability to understandcomplex tasks and to give active responses concerningtheir own perceptual states. Color vision assessment methods that rely on reflexive feedback are therefore very useful in research involving these subject groups (see, e.g.,Anstis, Murasugi, & Cavariagh, 1990; Logothesis &Charles, 1990; Maurer, Lewis, Cavanagh, & Anstis, 1989).:
Anstis and Cavanagh's (1983; Anstis, Cavanagh, Maurer, & Lewis, 1987) minimum motion technique (MMT)is perhaps the most widely known method of using reflexive feedback to assess color vision. Subjects are showna two-color grating that appears to drift in one directionwhen the luminance ratio between the colors is greaterthan 1.0 and in the opposite direction when the ratio isless than 1.0. The stimulus elicits optokinetic nystagmus(OKN), which varies in amplitude and direction with theluminance ratio and is generally consistent with perceiveddirection of motion. The points at which OKN directionreversals take place can therefore be used to estimate whenan isoluminance condition has been reached.
We thank Vasile Diaconu, Jocelyn Faubert, and Olga Overbury forhelp and advice. This research was supported by a grant from the Medical Research Council of Canada (MA-13127). Inquiries and requestsfor reprints should be sent to C. A. Collin, Psychology Department,McGill University, 1205 Dr. Penfield, Montreal, PQ, H3A 181 Canada(e-mail: [email protected]).
The isoluminant point obtained will depend on the subject's spectral sensitivity function. This function is knownto differ between normal trichromats and individuals withvarious forms of red/green color blindness (see, e.g.,Devos, Spileers, & Arden, 1996; Kinnear, 1986; Verriest,1971). With the MMT, one can therefore use OKN datain order to indirectly detect these anomalous color visiontypes (see, e.g., Maurer et al., 1989). This offers a significant advantage over earlier methods such as flicker fusion, which rely on subjects' reports oftheir perceptions.To date, the MMT has been effective in distinguishingbetween normal and red/green deficient color vision in infants (Maurer et al., 1989) and in determining isoluminance points in nonhuman species such as monkeys (Logothesis & Charles, 1990) and guppies (Anstis et al., 1990).
Chaudhuri and Albright (1990, 1992) have developedanother motion stimulus that can be used in obtainingisoluminance ratios. The principle advantage ofthis stimulus, called the heterochromatic fusion nystagmus (HFN)stimulus, is that the isoluminant point is based on a condition ofmaximum motion perception, unlike in the MMT, inwhich a minimization of perceived motion is taken as theisoluminant point. The HFN stimulus appears to move inone direction when two chromatic components are isoluminant (luminance ratio » 1.0) and in the opposite directionwhen they are nonisoluminant (luminance ratio< 1.0 or >1.0). As with the MMT, OKN eye movements are elicitedwhen subjects view the HFN stimulus. These are maximized, in conjunction with perceived motion, at the isoluminance condition. This means that the HFN techniqueprovides a positive endpoint. The maximization of thechange in polarity (i.e., ofOKN eye movements and/or perceived motion) itself is the measure of the isoluminancepoint, as opposed to the absence ofsignal that is used to assess isoluminance in the MMT and flicker fusion techniques.
1337 Copyright 1998 Psychonomic Society, Inc.
1338 COLLIN AND CHAUDHURI
Techniques using the HFN stimulus have several advantages over other luminance matehing techniques. Forinstance, the HFN technique is easier to use than the MMTwith monkeys that have not been specifically trained totrack visual stimuli or provide feedback on their perceptual states (Chaudhuri & Albright, 1992). Also the methodis flexible. The size, shape, and spacing of the stimuluscomponents can be varied widely without alte ring theisoluminance point obtained (Chaudhuri & Albright,1992). Although spatial frequency has been shown to affect isoluminance data (Cavanagh, MacLeod, & Anstis,1987; Cavanagh, Tyler, & Favreau, 1984), the spatiallybroadband nature of the HFN components means thatthese effects are averaged out. This has the advantage ofmaking the technique flexible, but it may also be that thetechnique could be more sensitive if its spatial frequencydomain were limited.
The HFN stimulus also functions across a wide rangeof temporal parameters. Though the flicker rate is optimal at around 15 Hz, faster rates provide valid (thoughmore variable) data (Chaudhuri & Albright, 1992). Furthermore, the velocity ofthe pattern is not constrained bythe need for frame-to-frame correlation, a requirementwhich limits the velocities that can be used with the MMT.With the HFN stimulus, any velocity capable of drivingOKN can be used (Chaudhuri & Albright, 1992).
Although the HFN technique has been applied in basicresearch in order to find isoluminant pairs of colors(Chaudhuri & Albright, 1990, 1992), its ability to distinguish between normal and abnormal color vision in humans has not been assessed. Luminance matehing techniques in general (e.g., MMT and flicker fusion) haveseverallimitations as color vision screening devices. Forinstance, they cannot reliably separate dichromats fromabnormal trichromats (e.g., deuteranomals from deuteranopes or protanomals from protanopes) because oflarge overlaps in the spectral sensitivities ofthese populations (Cavonius & Kammann, 1984; Devos et al., 1996;Verriest & Uvijils, 1989). Also, because of the small ornonexistent input of the S-cone system to the luminancechannel (see, e.g., Nakano & Kaiser, 1992), they are incapable ofdetecting tritan-type deficits. But they are capable ofdiscriminating among normal trichromacy, protantype deficits, and (with somewhat reduced sensitivity)deutan-type deficits (Cavonius & Kammann, 1984; Devoset al., 1996; Verriest & Uvijils, 1989). The HFN techniqueand these methods share the underlying principle of luminance matching, so we expect that it will share thelimitations above. However, they should also share thecapability of distinguishing among normal trichromacy,protan-type deficits, and deutan-type deficits.
We report here the results ofa study on the use of HFNto distinguish among three groups: normal trichromats,deuteranomals, and protanopes. We have found that theHFN technique is capable ofdistinguishing between normal trichromats and protanopes with high sensitivity andbetween normal trichromats and deuteranomals with
lower sensitivity. It should therefore prove useful in studies of color vision, especially when animal or infant subjects are involved. A preliminary report ofthese results hasappeared in abstract form (Collin & Chaudhuri, 1996).
METHOD
SubjectsA total of26 individuals (6 protanopes, 4 deuteranomals, and 16
normal trichromats) drawn from a variety of student and work forcepopulations participated in the experiment. Subjects were recruitedby announcements in undergraduate classes or were referred byophthalmologists and fellow researchers. All the color vision defects were congenital. The number of protanopes who were recruited was unusually high compared with the number of deuteranomals; but other researchers in our geographical area havereported similar distributions ofsubjects (1. Faubert, personal communication, October 10, 1997), and we suspect that the usual distribution ofcolor vision types for European populations may not beaccurate for the French Canadian population which predominates inour area. The fact that deuteranopes and protanomals were nottested was not considered critical, because luminance matehingtechniques are known to be insensitive for distinguishing dichrornats from abnormal trichromats (Birch, 1991).
Mean group ages (±SD) for normal trichromats, protanopes, anddeuteranomals were 25.4 ± 04.4,39.7 ± 19.7, and 27.5 ± 06.8years, respectively. Eight of the normal trichromats were female;all other participants were male. Normal trichromats volunteered;subjects with abnormal color vision were paid for participation.
MaterialsA copy ofAmerican Optical's Hardy-Rand- Rittler pseudoisochro
matic plate test (AO H-R-R plates), a Farnsworth-Munsell l Oü-Huetest (FM-IOO), and a Nagel anomaloscope were used to determinesubjects' color vision classifications. The AO H-R-R and FM-100were presented under a Macbeth Lamp, providing a standard Type Cilluminant. The luminance and colorimetric values of screen phosphors were measured with a Minolta Chromameter CS-I 00.
StimuliThe HFN stimulus was generated on a PC installed with a graph
ics co-processor (Number Nine Computer Corp., Cambridge, MA)and was presented on a Phillips 2182DC Fast Refresh 21-in. monitor. Each pixel subtended approximately 2.7' of arc at a viewingdistance of 57 cm.
SampIe sections offrames from the HFN stimulus are shown inFigure I. The stimulus consists ofa two-color random checker fieldinterspersed with small randomly positioned black dots. The fieldscrolls horizontally at 7.5°/sec, with the checkers and dots movingcoherently (i.e., maintaining their relative positions). As this motionoccurs, the checkers counterphase at 15 Hz. That is, every 0.0667 sec,the pattern moves over by one checker's width and all the checkersofColor I (e.g., red) switch to Color 2 (e.g., green), and vice versa.The dots simply move with the pattern and do not change colors, remaining black throughout.
When the checker colors are nonisoluminant, their reversals produce luminance flicker, which masks the motion ofthe black dots.Furthermore, the timing of'the reversals with the motion ofthe fieldproduces a reverse-phi effect (Anstis, 1970; Anstis & Rogers, 1975),so that the pattern resembles a flickering field of squares drifting inthe direction opposite the actual direction ofthe pattern movement.The black dots can be seen; but their motion is obscured, and theydo not appear to move coherently in any given direction.
When the checker colors are isoluminant, the masking flickerand reverse-phi disappear, and the checkers fuse into a single ho-
COLOR VISION ASSESSMENT WITH HFN 1339
a) Checker ColorsNon-Isoluminant
b) Checker ColorsIsoluminant
True Motion True Motion
---
Perceived Motion ..• Perceived Motion
---(
II\
Example Frame 2Time: 0.067 sec
Example Frame 1Time: 0.000 sec
Example Frame 3Time: 0.133 sec
Figure 1. Sampie sections of three frames of an HFN stimulus when checker colors are (a) nonisoluminant and(b) isoluminant. The pattern of checkers and dots moves coherently to the right in both examples. (a) A crossshaped section of checkers (circled for emphasis) is moving rightward while switching colors across frames. Thedots are unaffected and simply move with the pattern. When the checker colors are nonisoluminant, the movement of the black dots is masked by flicker and reverse phi. (b) When the checker colors are isoluminant, theyfuse into an averaged background that exhibits minimal flicker. The black dots continue to move, however, as canbe seen by examining the x-shaped configuration of dots (circled for emphasis). The perceived direction of motion is in the direction of the actual pattern scroll: Masking flicker and the reverse-phi effect have disappearedbecause of a lack ofluminance contrast, and the motion ofthe black dots becomes salient.
mogenous background whose color is a mixture ofthe two checkercolors. The black dots, no longer masked by flicker or reverse-phi,become visible and can be seen as moving in the true direction ofthe pattern's scrol!. Thus, at isoluminance, the HFN resembles a static homogeneously colored background with a coherent pattern ofblack dots moving over it.
The parameters ofthe HFN stimuli used in this study were as follows. The checkers were 0.5° squares randomly assigned one oftwocolors. The dots were 0.1° black squares distributed over the random checker field in a grid pattern with positions separated by
0.75°. There was a 50% chance ofa dot's appearing at any given position on this grid. The pattern was presented across the entire 2lin. screen, and it subtended approximately 36° X 28° ofvisual fieldat the viewing distance of 57 cm.
Two pairs of checker colors were used in this experiment: red ongrcen, and red on blue. The red component (i.e.. red phosphor) had aspectral energy function peaking around 610 nm (ClE coordinates:u' = A13, v' = .524) and the green had its peak at around 560 nm(u' = .125, v' = .553). Figure 2 shows that these valucs correspondclosely with the minimum and maximum of a function representing
1340 COLLIN AND CHAUDHURI
6
>. 4-">+:i 2"Ci)CQ)
0Cf)Q)
> -2+:iroQ)
a:: -4
-6
-8400
Blue elementpeak
500
Green elementpeak
---0-- Normal--.-- Normal
Red elementpeak
ProtanopeDeuteranomal
700
Wavelength (nm)Figure 2" Relative differences in spectral sensitivity between normals and protanopes and be
tween normals and deuteranomals. The figures were produced by subtracting the protanopic spectral sensitivity function from the normal trichromatic spectral sensitivity function (normal minusprotanope) and by subtracting the deuteranomalous spectral sensitivity function from the normalfunction (normal minus deuteranomal).
the difference in spectral sensitivity between normals and protanopes.The function was generated by subtracting the protanopic spectralsensitivity function from the normal trichromatic function. The original spectral sensitivity functions were measured with a monochromator (1. Faubert, personal communication, October 10, 1997; seealso Diaconu & Faubert, 1997). At wavelengths where the differencefunction is positive, protanopes are less sensitive than normals andvice versa. Because the dominant wavelength of'the red componentslies near the maximum ofthe function, they would appear much dimmer to protanopes than to normal trichromats at any given intensity.With the green, the situation is reversed, and the green phosphorwould appear brighter to a protanope.
In the red-on-blue pair, the blue had a dominant wavelength of470 nm (u' = .168, v' = .162). Figure 2 shows that this correspondsclosely with the maximum of a function representing the differencein spectral sensitivity between normals and deuteranomals. Thefunction was generated by subtracting the spectral sensitivity function for deuteranomals (Diaconu & Faubert, 1997) from that fornormals. Thus, deuteranomals will be less sensitive to wavelengthsaround the maximum ofthe function. This blue was again comparedwith the red described above.
ProcedureSubjects were first tested and classified as to color vision type
with AO H-R-R plates, the FM-IOO,and the Nagel anomaloscope,using standard procedures and criteria as outlined by the manufacturers (including the use ofMacbeth Lamp illumination for the AOH-R-R and FM-IOO tests). These three tests agreed in all cases asto the type of color blindness (protan vs. deutan) that the subjecthad, and they agreed quite weil in terms ofthe degree ofthe disorder. Where tests disagreed significantly regarding the degree ofthedeficit (and this occurred for only I color anomalous subject), the
anomaloscopy results were taken as correct. The results of thesethree tests for the color anomalous subjects are shown in Table I.The subjects were subsequently evaluated with the HFN technique.
Each subject underwent 10 trials with the HFN procedure. Ineach trial, the subject was presented with a continuously scrollingHFN stimulus incorporating two color components. One of thecomponents remained fixed in intensity while the subject adjustedthe intensity ofthe otherwith ajoystick. Subjects were asked to adjust the variable component until the impression of motion createdby the black dot pattern was maximized (i.e., isoluminance wasachieved). The intensity values at which they set the variable cornponent were recorded automatically, and an average over 10 trialswas taken. The direction ofmotion (Ieft or right) was chosen randomly for each trial. At the beginning of each trial, the intensity ofthe test was randomly set at either its maximum or its minimum value.
For protanopes, the colors used in the pattern were red and green.The green was the standard component and was set to 9 cd/m-. Fordeuteranomals, the colors used were red and blue. The blue was thestandard component. Because ofconcerns about a mesopic shift insensitivity toward the short wavelength end of the spectrum, theblue was placed at 10 cd/rn 2, the maximum luminance that could beproduced on our monitor while still maintaining the spectral characteristics noted above. Normal trichromats were tested under boththese conditions.
RESULTS
Figure 3a shows the mean red/green luminance ratiosat which protanopes and normal trichromats experiencedisoluminance when viewing the HFN stimulus. It can beseen that the luminance ratio at which normal observers
COLOR VISION ASSESSMENT WITH HFN 1341
Table 1Classifications of Color Anomalous Subjects by FM-lOO,
AO H-R-R. and Nagel Anomaloscope Tests
FM-lOO
experienced isoluminance is close to unity (M = 1.04,SD = .21), while the same value for protanopes is quitehigh (M = 2.35, SD = .2 I). This difference is significant(t = 17.3,p < .001), and it agrees with the prediction thatprotanopes' lower sensitivity to long wavelengths wouldlead them to set the red component higher than would normals to achieve isoluminance with a green standard light.
The luminance ratios also agree reasonably weIl withthe predicted ratios of 1.00 and 3.51 for normals andprotanopes, respectively. These were calculated by firstconvolving the red and green phosphors' spectral energyfunctions with average spectral efficiency functions fornormals and protanopes, and then making ratios of theintegrals of the convolved functions. The fact that ourempirical ratio for protanopes is somewhat lower thanthe theoretical ratio may be due to saturation effects. Ourmonitor's red gun produces a maximum of 30.5 cd/m-,about 3.39 times the luminance ofthe 9-cd/m2 standard,so actually entering a ratio of 3.51 was not possible.
Figure 3b shows the mean red/blue luminance ratios fordeuteranomals and normal trichromats viewing the HFNstimulus. Here, an unexpected result occurs. Normaltrichromats set the level ofthe variable red color's luminance far above that ofthe lO-cd/m? blue standard, resulting in a luminance ratio greater than the expected unityvalue (M = 1.61, SD = .19 cd/m-), Deuteranomal subjects set the red luminance lower than did normals,which was as expected, but they too set the value abovethat ofthe standard (M = 1.29, SD = .19 cd/m-), The difference between the groups is significant (t = 3.3, p =.044) and is in the direction predicted. However, the absolute values are far above those expected.
On the basis of the spectral sensitivity curves ofdeuteranomals, it was predicted that they would placethe luminance of the red variable lower than that of theblue standard, whereas normal trichromats would adjustthe variable to match the standard. Our results suggest anartifact that elevated all responses by about 6 cd/m-. Twopossible explanations of this effect are based on the low
luminance level ofthe test pattern: (l) there may have beena Purkinje shift in the spectral sensitivity ofsubjects, and(2) owing to the large spatial extent ofthe test pattern, rodintrusion may have altered the color perception of subjects. Also possible is an artifact due to phosphor crosstalk. These possibilities will be reviewed in more detailin the Discussion.
The empirically determined ratios also do not agreewith the predicted ratios of 1.00 and 0.72 for normalsand deuteranomals, respectively. These ratios, calculatedas were those for the protanopes above, represent expectations based on the convolution ofspectral energy functions from the monitor with the average spectral sensitivity for normals and deuteranomals. The empiricallydetermined ratios come more into line with the theoretical ones if the ratio for normal subjects is scaled to unityand the same treatment is applied to the deuteranomalratio, which then becomes 0.80. Ifthe ratios were indeedelevated by the postulated artifact, then scaling to unityshows that the relative differences between them agreewith the predicted values.
The sensitivity and specificity of the HFN techniquein detecting color vision anomalies was also assessed,though with the small number of subjects tested here thesevalues must be regarded as quite tentative. For protanopesversus normals, the response ranges ofthe groups did notoverlap, giving the test 100% sensitivity and specificity.The mean red/green luminance ratio at which protanopicsubjects experienced isoluminance ranged from 2.18 to2.71. For normal trichromats, the same range was .88 to1.31. Thus, any criterion luminance ratio between 1.32and 2.17 divided the groups completely.
For deuteranomals versus normals, there was someoverlap of response ranges. Deuteranomals experiencedisoluminance at red/blue luminance ratios ranging from1.15 to 1.44, whereas for normals the range was 1.44 to1.83. The optimum criterion level was thus 1.44 (i.e., ratios of 1.44 and below resulted in c1assification as deuteranomal). With this criterion, sensitivity was 100% and
1342 COLLIN AND CHAUDHURI
DISCUSSION
normal trichromats using keypress feedback. ThoughOKN measurements were not made here, previous workhas shown that with the HFN technique, psychophysicaldata very closely parallel eye movement data. Also, casual observation indicates that the subjects (includingcolor abnormal subjects) do indeed exhibit nystagmus atapproximately the correct intervals during testing.
The sensitivity and specificity of the HFN techniqueseem to be high. These values appear to be lower for discrimination of deuteranomals from normals than for discrimination ofprotanopes from normals, but this is to beexpected, because the difference in spectral sensitivitybetween normals and deuteranomals is much smallerthan that between normals and protanopes. Many techniques for detecting color blindness show this pattern ofgreater sensitivity to protanopic deficits than to deuteranomalous deficits (Birch, 1991). The fact that the HFNresults c1assify subjects in a manner very similar to thoseobtained with the FM-100 indicates that the techniquehas concordant validity with c1inically used tests.
The unusually high response values associated withthe blue-on-red HFN stimulus, whereby all subjects gavevalues approximately 6 cd/rn 2 higher than was expected,require explanation. They may be the result of a mesopicshift in sensitivity. The blue gun ofa computer monitor haslimited energy output-the maximum luminance thatcould be produced for the blue checkers was 10 cd/m2
which is at the lower end of the photopic range. The results may therefore be explained by a shift in the spectralsensitivity curves of subjects toward the short-wavelength end of the spectrum as some rod photoreceptorsbecome active in this range ofluminance. This Purkinjeshift would have the effect of making the blue checkersappear subjectively brighter while simultaneously making the red checkers appear dimmer (e.g., Vienot & Chiron, 1992). We speculate that the effect is reduced witha green-on-red HFN stimulus because the peaks of thespectral content curves for the two guns are closer to oneanother and because there is a certain degree of overlapin the spectral energy functions ofthe two stimuli.
A second possible explanation for this result is rod intrusion (Stabell & Stabell, 1976, 1979). Given the low luminance levels (lower end of photopic range) and thelarge spatial extent of the pattern, it is likely that rods inthe extra-foveal retina were recruited, thereby changingcolor appearance. However, subjects generally reportedpaying attention to the central region oftheir vision, noting that the edges of the pattern continued to flicker whenthe central region was made to fuse. Rod intrusion effectsare generally found in experiments in which subjects areasked to ignore the center ofthe field or are given an annular stimulus that masks the center of the field (Boynton, 1979).
The nature of the HFN stimulus makes it difficult tolimit its spatial excursion to the fovea. However, we havedeveloped aversion ofthe stimulus that is Iimited to thecentral 10° ofvisual field. This version also incorporatesperiodic bright adapting fields and a bright surround to
Protanopes
Deuteranomals
Normal Trichromats
Normal Trichromats
2
3
a) C 3
~
~~ 2--
specificity was 87.5%. That is, 2 ofthe 16 normal subjects would be misc1assified as deuteranomals with thiscriterion.
To determine whether the c1assifications obtained usingthe HFN were concordant with those from the FM-100,kappa statistics were calculated (Bishop, Fienberg, &Holland, 1975). The kappa statistic assesses whether twotesting methods result in same c1assification of testedsubjects. A kappa value above .7 is considered an indication of strong agreement. For the HFN, the c1assificationcriteria were the same as noted above. For the FM-100,the standard error score and primary axis criteria, as suggested by the manufacturers, were used as criteria forcolor vision c1assification. In the case ofprotanopes versus normals, the two tests agreed extremely well (/(= 1).In the case ofdeuteranomals versus normals, the tests alsoagreed strongly (/(= .73, P < .01).
We have shown that the HFN technique is capable ofdistinguishing among protanopes, deuteranomals, and
Figure 3. Mean luminance ratios for (a) normal trichromatsand protanopes equating red variable with green standard checkers and (b) normal trichromats and deuteranomals equating redvariable with blue standard checkers. The differences betweengroups in both cases are significant (/= 17.3,p < .001 and 1= 3.3,P = .044, respectively). Error bars represent one standard error.
keep the subject adapted to luminance levels that are unambiguously photopic. This should eliminate the concemsabove in future research.
A third possible explanation for the elevated responselevels in the red/blue condition concems phosphor crosstalk. Color appearance might have been altered if the activation of one set of phosphors resulted in some activation in other sets ofphosphors. However, our monitor hasbeen carefully calibrated, and the spectral energy functions ofthe phosphors were measured extensively. Thesefunctions show no sign ofcross-talk. Magnified visual inspection of the phosphors under various activation conditions corroborates this.
In conclusion, the HFN technique has been shown tobe a useful tool for color vision assessment. Although itshares certain limitations with other luminance matching methods of color vision screening-for example, aninability to distinguish between dichromats and abnormal trichromats and detection oftritan-type deficits-bothprotanopes and deuteranomals can be distinguished fromnormal trichromats with the use of the HFN technique.The advantages ofthe HFN stimulus-positive endpointand correlated OKN responses-provide this techniquewith a broad utility for color vision assessment that maybe applicable when other tests are difficult to implement.
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